Student’s Name_____________________ Mother’s Name__________________Father’s Name_____________

I hereby waive, release and hold Dance Dynamics, and its employees from liability of claims resulting from any injury to my child
Classes of Interest_________________________, ________________________,_________________________
Address______________________________________City_______________ Zip___________ Age_________

Home Phone_______________________Work phone____________________ Cell Phone________________

Credit Card Number________________________ Expiration__________ Security Code________________

video tape my child during class hour for promotional uses. In signing this waiver, you also acknowledge your responsibility in
School Grade_________ School Attending_________________Email________________________________

due to your participation in the program. I hereby give my permission to Dance Dynamics and it employees to photograph or
MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

1:45 pm 2:30 pm 2:30 pm 2:30 pm 3:00 pm

Stretch and Beg. Lyrical Beg Musical Beg Ballet Ballet/ Tap

Emergency Contact__________________________ Phone___________________________________

strengthen Mrs. Bailey Theater Mrs. Mrs. Patricia 9:00 am
Mrs. Katie Erika Ballet/Tap
2:45pm 3:30 pm 3:30 pm 3:30 pm 4:00 -6:30 pm
Beg. Hip Hop Beg. Jazz Int. Jazz Beg. Hip Hop Dynamite 10:00 am
Mrs. Katie Mrs. Bailey Mrs. Erika Mrs. Rayvan Performance Team Tumbling Tots

3:45 pm 4:30 pm 4:30 pm 4:30 pm 5:00 pm

Clogging Beg. Int. Tap Int. Musical Jazz
Mrs. April Mrs. Bailey Theater Mrs. Rayvan
Mrs. Erika

ACADEMY OF DANCE DYNAMICS

4:30 pm 5:30 pm 5:30 pm 5:30 pm
Clogging Int. Leap and Turns Int/ Adv. Hip Hop
Mrs. April Mrs. Maggie Contemporary Mrs. Morgan

How did you hear about us?______________________________________

5:15pm 6:30 pm 6:30 pm 6:30 pm

WHERE STUDENTS BECOME STARS.

Clogging Adv. Adv Ballet Comp. Jazz Beg Hip Hop

REGISTRATION FORM
Comp. Mrs. Maggie Mrs. Erika Mrs. Morgan
Mrs. April
6:30pm 7:30 pm 7:30 pm 7:30
Perf Team Jazz Lyrical Comp Int. Jazz
Mrs. Katie Mrs. Maggie Rehearsal Mrs. Morgan
Mrs. Erika

7:30 Alumni

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

1:45 pm 2:30 pm 2:30 pm 3:00 - 4:30 pm

-------------------------------------------Parent’s signature
Leaps & Turns Beg. Acro Dynamite

paying monthly tuition, costume and recital fees.

Mrs. Renee Mrs. Renee Performance Team

2:30pm 2:30 pm 3:30 pm 3:45 pm

Beg. Ballet Int. Jazz Ballet/Lyrical Comp. Mini
Mrs. Maggie Mrs. Erika Mrs. Renee Jazz
Mrs. Renee
3:30 pm 3:30 pm 4:30 pm 4:30 pm
Comp Mini Ballet Beg Contemporary Beg. Acro Comp. Mini Rehearsal
Perf. Team Mrs. Erika Mrs. Renee Mrs. Renee
Mrs. Maggie
5:30 pm 4:30 pm 5:30 pm 5:30 pm
Ballet Perf. Team Beg. Tap Int. Acro Int. Adv.
Mrs. Maggie Mrs. Erika Mrs. Renee Acro
Mrs. Renee
6:30pm 5:30 pm 6:30 pm 6:30 pm
Int. Comp. Ballet Jazz Funk Hip Hop/ Acro Adv. Acro
Mrs. Maggie Mrs. Erika Mrs. Rene Mrs. Renee

7:30 pm 6:30 pm 7:30 pm 7:30

Pre-point / Point Ballet/Tap Adv. Acro Yoga
Mrs. Maggie Mrs. Erika Mrs. Renee Mrs. Emily

7:30
Private Rehearsal
Mrs. Erika